Changing patterns of service user involvement, 1990–2010

Clare Evans and Ray Jones

in Critical Perspectives on User Involvement

Published by Policy Press

Published in print November 2011 | ISBN: 9781847427519
Published online May 2012 | e-ISBN: 9781447305590 | DOI:
Changing patterns of service user involvement, 1990–2010

Show Summary Details


This chapter describes how the changes in emphasis in social policy nationally and locally have required service users to adapt patterns of user involvement, and considers the role of user-controlled organisations in supporting and driving such changes. It is written from the perspective of a disabled woman who led the development of user involvement in one local authority area and contributed to the national development of disabled people's action, and that of a senior manager of social services who was committed to enabling users to have a voice. The chapter charts changes to social care services for disabled people since the implementation of the 1990 NHS and Community Care Act, including the implementation of Direct Payments; the Disability Equality Duty; Enhancing the Life Chances of Disabled People Report 2005; and the emphasis on personalisation and introduction of individual budgets. It also notes broader changes taking place within local government during this period. Drawing on experience of leading the development of user involvement and user-controlled organisations to support it both in Wiltshire and nationally, the chapter shows how service users have adapted, how they have worked and whom they have influenced.

Keywords: disabled people; consultation; co-production; independent living; personalisation

Chapter.  4404 words.  Illustrated.

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.